Individual provider Active NPI

Gina Marie Zazzara, MSSA

  • Clinical Social Worker
  • Strongsville, OH
National Provider Identifier
1770815482
Registry record updated Jan 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1101689 Issued in OH
Practice address
11565 Pearl Rd
Suite 200
Strongsville, OH 44136-3356
Phone
(440) 846-0862
Fax
(440) 846-0890
NPI assigned
Feb 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1101689 OH Primary

Addresses

Primary practice location

11565 Pearl Rd
Suite 200
Strongsville, OH 44136-3356

Mailing address

23472 Grist Mill CT
Olmsted Falls, OH 44138-3206
Phone (440) 610-3662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130726000534 OH Practitioner - Clinical Social Worker 1052552411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeguide Health LLCGroup PAC ID 3678988953, 3 clinicians

Practice addresses (Care Compare)

28922 Lorain Rd
Suite 201
North Olmsted, OH 44070-4047
Phone (440) 360-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1101689OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeguide Health LLC CurrentSince Mar 22, 2021 Accepting new patients

Locations

28922 Lorain Rd
Ste 201
North Olmsted, OH 44070
Phone (440) 360-7500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1770815482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23472 GRIST MILL CT",
            "city": "OLMSTED FALLS",
            "state": "OH",
            "postal_code": "441383206",
            "telephone_number": "440-610-3662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11565 PEARL RD",
            "address_2": "SUITE 200",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441363356",
            "telephone_number": "440-846-0862",
            "fax_number": "440-846-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAZZARA",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "MSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1101689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.